sing teach-back to improve recall of discharge information in patients with arthroplasty

• Conditions: Arthroplasty; Musculoskeletal - Other muscular and skeletal disorders; Public Health - Health service research

• Registration Number: ACTRN12619000444189
• Lead Sponsor: The University of Melbourne

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2019-03-18
• Last Update Posted: 15 July 2019

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 64

Inclusion Criteria

Group one - patients: Will be discharged directly home following an elective arthroplasty. Cognitively able to receive pre-discharge education on activity, medication, (+/- prevention of dislocation for patients with total hip replacement); are able to provide informed consent; able to communicate in English.
Group two - Clinicians (nursing, allied health or medical) within the Williamstown orthopaedic unit who routinely provide pre-discharge information to patients with elective joint surgery (approximately six to ten eligible staff).

Exclusion Criteria

Group one - Patients who are not considered to be clinically or otherwise appropriate for inclusion based on their treating clinician’s opinion will be excluded from this study.
Group two - clinicians. No exclusion criteria

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
% of patients who can correctly recall discharge information about:<br>Three symptoms to see the doctor or the emergency department for.<br>How many times a day should they complete their rehabilitation exercises.<br>How long before exercising should they take pain medication<br><br>Responses will be yes/no for having answered correctly (based on the standardised education given to arthroplasty patients prior to discharge). These items are designed specifically for this study.[ 2-days post-discharge];Confidence of staff to undertake teach-back. This is a composite outcome derived from the Teach-Back Conviction and Confidence Scale and the validated Perceived Knowledge and Self-confidence of Paediatric Nurses as Patient Educators scale. [Pre- and post-intervention (approximately 4 months between)]

Secondary Outcome Measures

Name	Time	Method
Patient's level of pain, using the Numeric Pain Rating Scale [2-days post-discharge];Patient's self-efficacy to manage their condition at home using the Self Efficacy Expectation Scale[2-days post-discharge];To assess staff satisfaction with using teach-back and barriers/enablers to its uptake, staff will be invited to a 45-minute focus group(s) at the end of the intervention period. For staff who are unable to attend the focus group due to availability, a 15-minute telephone/face-to-face interview will be offered. <br>The focus group/interviews will be semi-structured, and facilitated/conducted by a researcher. Both will be audio-recorded and transcribed. <br>There are between 6-10 eligible staff who will be invited to participate in either the focus group or interviews.[Within 2-4 weeks of completion of the intervention period. ]